How much rates vary
Facilitymedian $1,820 · 10th to 90th $407 to $4,074Professionalmedian $2,692 · 10th to 90th $1,549 to $21,380
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $5,248.07 | Facility | None | $2,691.53 | $3,090.30 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $5,248.07 | Professional | None | $1,148.15 | $1,148.15 | $5,248.07 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $4,365.16 | Facility | None | $346.74 | $1,047.13 | $4,365.16 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,737.80 Median $4,365.16 Typical High $21,379.62 | Professional | None | $1,737.80 | $4,365.16 | $21,379.62 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $954.99 Typical High $1,380.38 | Facility | None | $50.12 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,677.35 | Professional | None | $2,630.27 | $2,630.27 | $4,677.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,819.70 | $2,238.72 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,238.72 | $2,754.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $5,623.41 | Professional | None | $1,995.26 | $3,630.78 | $5,623.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,047.13 Typical High $4,365.16 | Facility | None | $346.74 | $1,047.13 | $4,365.16 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,737.80 Median $4,365.16 Typical High $21,379.62 | Professional | None | $1,737.80 | $4,365.16 | $21,379.62 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $7,585.78 | Professional | None | $1,995.26 | $2,818.38 | $7,585.78 |
Well Sense Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,570.40 | Facility | None | $1,258.93 | $1,737.80 | $2,570.40 |
Well Sense Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,318.26 | $1,584.89 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $2,630.27 | Professional | 52 · Reduced service | $575.44 | $575.44 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $1,047.13 | Professional | 53 · Discontinued | $234.42 | $234.42 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $3,890.45 | Professional | 54 · Surgery only | $870.96 | $870.96 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $776.25 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $524.81 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $3,630.78 |
Where Massachusetts sits
The same service costs 6.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 18th of 51
$2,630
AK $6,918TX $1,122
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.